GAMBARAN NILAI INDEKS ERITROSIT DAN RDW PADA IBU HAMIL TRIMESTER KETIGA UNTUK DETEKSI DINI ANEMIA DEFISIENSI BESI
Keywords:
anemia defisiensi besi, ibu hamil trimester ketiga, indeks eritrosit, RDW, iron deficiency anemia, pregnant women in their third trimester, erythrocyte indicesAbstract
ABSTRAK
Anemia defisiensi besi masih menjadi masalah kesehatan yang sering dijumpai selama kehamilan seiring bertambahnya keperluan zat besi guna menunjang kondisi fisiologis ibu dan janin. Pemeriksaan indeks eritrosit yang meliputi Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), Mean Corpucular Hemoglobin Concentration (MCHC), serta Red Cell Distribution Width (RDW) dapat diterapkan skrining awal guna menggambarkan kondisi kecurigaan anemia defisiensi besi. Tujuan studi ini guna mengkaji gambaran nilai indeks eritrosit dan RDW di ibu hamil trimester ketiga. Penelitian dilakukan dengan rancangan observasional deskriptif melalui pendekatan cross-sectional. Sampel studi mencakup 38 ibu hamil trimester ketiga yang sedang memeriksakan darah lengkap di RSI Jemursari Surabaya. Data penelitian diperoleh melalui pemeriksaan darah lengkap menggunakan hematology analyzer kemudian dianalisis secara deskriptif. Hasil studi mengungkap nilai rerata nilai hemoglobin sejumlah 10,86 g/dl, MCV sejumlah 80,35 fl, MCH sejumlah 26,11 pg, MCHC sejumlah 32,38 g/dl, serta nilai RDW 16,4%. Sebanyak 19 responden (50,0%) termasuk kategori non anemia, 10 responden (26,3%) anemia non defisiensi besi, serta 9 responden (23,7%) menunjukkan indikasi anemia defisiensi besi. Kesimpulan penelitian ini mengungkap mayoritas reponden mempunyai nilai indeks eritrosit serta RDW yang masih berada dalam rentang normal, meskipun masih ditemukan beberapa responden dengan gambaran yang mengarah pada anemia defisiensi besi. Parameter uji indeks eritrosit dan RDW diterapkan sebagai pemeriksaan penunjang dalam skrining awal kecurigaan anemia defisiensi besi di ibu hamil.
ABSTRACT
Iron deficiency anemia remains a common health problem during pregnancy, particularly as the demand for iron increases to support the physiological needs of both the mother and the developing fetus. Erythrocyte indices, including Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), Mean Corpuscular Hemoglobin Concentration (MCHC), and Red Cell Distribution Width (RDW), can be utilized as supporting parameters for the initial screening of suspected iron deficiency anemia. This study aimed to describe erythrocyte index and RDW values among pregnant women in their third trimester. A descriptive observational study with a cross-sectional approach was conducted involving 38 third-trimester pregnant women undergoing complete blood count examinations at RSI Jemursari Surabaya. The data were obtained from complete blood count examinations performed using a hematology analyzer and were subsequently analyzed descriptively. The findings revealed that the mean hemoglobin concentration was 10.86 g/dL, with mean MCV, MCH, and MCHC values of 80.35 fL, 26.11 pg, and 32.38 g/dL, respectively, while the mean RDW value was 16.4%. Among the 38 respondents, 19 (50.0%) were classified as non-anemic, 10 (26.3%) as having non-iron deficiency anemia, and 9 (23.7%) showed findings indicative of iron deficiency anemia. In conclusion, most respondents had erythrocyte index and RDW values within the normal range, although several respondents demonstrated findings suggestive of iron deficiency anemia. Therefore, erythrocyte indices and RDW may serve as supporting parameters in the initial screening of suspected iron deficiency anemia among pregnant women.
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